WGU D116 OA Final Exam Review Newest 2025 Actual Exam Questions
with Correct Detailed Answers (Verified Answers) Graded A+
1. A patient is brought to the emergency de- Furosemide which is a loop
partment with shortness of breath, a respi- diuretic and is rapid acting
ratory rate of 30 breaths per minute, inter-
costal retractions, and frothy, pink sputum. Hydrochlorothiazide and
Which drug should the provider administer spironolactone are not indi-
for this patient? cated because their diuretic
effects are less rapid
2. A patient with a recent onset of nephroscle- Adding a CCB to drug regi-
rosis has been taking an ACE inhibitor and men
a thiazide diuretic. The patient's initial blood
pressure was 148/100 mm Hg. After one In pts with renal disease, goal
month of drug therapy, the patient's blood of antihypertensive therapy is
pressure is 130/90 mm Hg. to lower the BP to 130/80 or
What should the nurse discuss with the less
provider?
Common to be on an ACE in-
hibitor, diuretic, and a CCB
3. A female patient with essential hyperten- Administer a beta-blocker
sion is being treated with hydralazine 25
mg twice daily. The nurse assesses the pa- Pt is showing signs of reflex
tient and notes a heart rate of 96 beats per tachycardia so a BB is indicat-
minute and a blood pressure of 110/72 mm ed to slow the heart rate
Hg.
What should the provider place an order
for?
4. A patient is taking a calcium channel block- help reduce peripheral ar-
er (CCB) for stable angina. The patient's terioles to reduce afterload,
spouse asks how calcium channel blockers which reduces the cardiac
relieve pain. oxygen demand
The provider should explain that CCBs
__________.
5. A patient with stage C heart failure (HF) Avoid potassium supple-
who has been taking an ACE inhibitor, a ments
beta-blocker, and a diuretic begins to have
increased dyspnea, weight gain, and de- Spironolactone is added to
, WGU D116 OA Final Exam Review
creased urine output. The provider orders therapy for pts with worsening
spironolactone. s/s of HR
What should a nurse instruct the patient to
do? Spironolactone is potassi-
um-sparing and pts should
not take potassium because
will elevate levels
6. A prescriber has ordered propranolol for a Asthma
patient with recurrent ventricular tachycar-
dia. Propranolol is contraindicat-
The provider should tell the nurse prepar- ed in patients with asth-
ing to administer this drug to be concerned ma because it is a nons-
about which condition in the patient's his- elective beta-adrenergic an-
tory? tagonist (Beta blocker) and
can cause bronchoconstric-
tion and exacerbate asthma
7. A patient with severe, chronic COPD uses Adding roflumilast once daily
an inhaled LABA/glucocorticoid but contin-
ues to have frequent exacerbation of symp- May help reduce the risk of
toms. exacerbations
What should the nurse contact the provider
to discuss?
8. A patient with persistent, frequent asthma LABAs should be combined
exacerbations asks the provider about a with an inhaled glucocorticoid
long-acting beta2-agonist medication.
What should the provider tell this patient?
9. A patient with a cough has been advised Guaifenesin is an expecto-
to use guaifenesin. The patient asks the rant so it helps stimulate the
provider to explain the purpose of the drug. flow of secretions to increase
Which statement by the provider explains cough productivity
the function of guaifenesin?
10. A nursing student is preparing to give a They alert prescribers to
medication that has a boxed warning. The measures to mitigate poten-
student asks the nurse what this means. tial harm from side effects
with Correct Detailed Answers (Verified Answers) Graded A+
1. A patient is brought to the emergency de- Furosemide which is a loop
partment with shortness of breath, a respi- diuretic and is rapid acting
ratory rate of 30 breaths per minute, inter-
costal retractions, and frothy, pink sputum. Hydrochlorothiazide and
Which drug should the provider administer spironolactone are not indi-
for this patient? cated because their diuretic
effects are less rapid
2. A patient with a recent onset of nephroscle- Adding a CCB to drug regi-
rosis has been taking an ACE inhibitor and men
a thiazide diuretic. The patient's initial blood
pressure was 148/100 mm Hg. After one In pts with renal disease, goal
month of drug therapy, the patient's blood of antihypertensive therapy is
pressure is 130/90 mm Hg. to lower the BP to 130/80 or
What should the nurse discuss with the less
provider?
Common to be on an ACE in-
hibitor, diuretic, and a CCB
3. A female patient with essential hyperten- Administer a beta-blocker
sion is being treated with hydralazine 25
mg twice daily. The nurse assesses the pa- Pt is showing signs of reflex
tient and notes a heart rate of 96 beats per tachycardia so a BB is indicat-
minute and a blood pressure of 110/72 mm ed to slow the heart rate
Hg.
What should the provider place an order
for?
4. A patient is taking a calcium channel block- help reduce peripheral ar-
er (CCB) for stable angina. The patient's terioles to reduce afterload,
spouse asks how calcium channel blockers which reduces the cardiac
relieve pain. oxygen demand
The provider should explain that CCBs
__________.
5. A patient with stage C heart failure (HF) Avoid potassium supple-
who has been taking an ACE inhibitor, a ments
beta-blocker, and a diuretic begins to have
increased dyspnea, weight gain, and de- Spironolactone is added to
, WGU D116 OA Final Exam Review
creased urine output. The provider orders therapy for pts with worsening
spironolactone. s/s of HR
What should a nurse instruct the patient to
do? Spironolactone is potassi-
um-sparing and pts should
not take potassium because
will elevate levels
6. A prescriber has ordered propranolol for a Asthma
patient with recurrent ventricular tachycar-
dia. Propranolol is contraindicat-
The provider should tell the nurse prepar- ed in patients with asth-
ing to administer this drug to be concerned ma because it is a nons-
about which condition in the patient's his- elective beta-adrenergic an-
tory? tagonist (Beta blocker) and
can cause bronchoconstric-
tion and exacerbate asthma
7. A patient with severe, chronic COPD uses Adding roflumilast once daily
an inhaled LABA/glucocorticoid but contin-
ues to have frequent exacerbation of symp- May help reduce the risk of
toms. exacerbations
What should the nurse contact the provider
to discuss?
8. A patient with persistent, frequent asthma LABAs should be combined
exacerbations asks the provider about a with an inhaled glucocorticoid
long-acting beta2-agonist medication.
What should the provider tell this patient?
9. A patient with a cough has been advised Guaifenesin is an expecto-
to use guaifenesin. The patient asks the rant so it helps stimulate the
provider to explain the purpose of the drug. flow of secretions to increase
Which statement by the provider explains cough productivity
the function of guaifenesin?
10. A nursing student is preparing to give a They alert prescribers to
medication that has a boxed warning. The measures to mitigate poten-
student asks the nurse what this means. tial harm from side effects
